ATI MATERNAL NEWBORN
1. normal assessment finding of full-term newborn 1 hr after vaginal delivery:
HEAD
CIRCUMFERENCE IS GREATER THAN THE CHEST
... [Show More] CIRCUMFERENCE
p.268ati
2. look over SIDS: need for additional teaching
3. which answer choice indicates that a new mother is having difficulty adjusting to
her role as a new mother
4. for a female who is bottle-feeding her newborn, what should the nurse do if the
female's breast are warm & firm (I chose to teach the client to apply cold
compresses). since the pt is bottle-feeding, there is no need to pump the breast
because pumping will stimulate more milk to be made. The client with warm and
firm breasts have breast engorgement...cold compresses are used for breast
engorgement. Pg 223ati
5. which statement by the client in post-term labor should the nurse give the
highest priority? (a) i have not felt my baby move as much today (b) i feel like i
cannot breathe when i walk up the stairs (c) i saw a blood-streaked discharge a
few hours ago (d) when my water broke, it was not clear my guess b/c
amniotic fluid should be clear pg.185ati
6. assessment finding for placenta previa (painless vaginal bleeding) pg. 71ati
7. a client who is pregnant w/ twins is undergoing an amniocentesis. the nurse
knows that the client's elevated level of alpha fetoprotein most likely indicates:(a)
a multifetal pregnancy (b) overestimation of gestation calculation (c) Rh
incompatibility (d) fetal lung maturity pg.689text
8. highest priority for an adolescent who comes to the prenatal clinic: (a)
socioeconomic status (b) psychological readiness (c) partner support (d)
nutritional status (my guess)
9. A client is having back labor but is uncomfortable and wants a natural delivery;
nursing intervention: ( i think i chose to assist the client to a hands-and-knees
position); one of the other choices was offer a whirlpool bath SACRAL
COUNTERPRESSUREHEAT/COLD THERAPY,
HYDROTHERAPY(WHIRLPOOL),ACUPRESSURE pg.133ati
10. 13 weeks pregnant w/ hyperemesis gravidarum (vomiting/morning sickness).
which assessment finding concerns the nurse (KETONURIA//KETONES OF 2+)
pg.94 ati, 704 text
11. A client who is at 40 weeks of gestation is admitted to the labor and delivery unit
with her cervix dilated 1 cm and 50% effaced(thinning of the cervix). Two hours
after receiving secobarbital (Seconal) 200 mg PO, the client wakes up anddelivery is imminent. which of the following actions should the nurse take first?
(1) place a bulb syringe in the radiant warmer (2) have naloxone (narcan)
available for the newborn (3)obtain warm blankets to place around the newborn
(4) test the function of the bag-valve mask pg. 159ati
12. which choice should the nurse instruct the client to contact the primary care
provider (the nurse is providing discharge teaching): THE INFANT HAS LESS
THAN 6 WET DIAPERS IN 24 HOURS pg.309ati
13. initial physical assessment on a newborn; which answer choice requires further
evaluation by the nurse: (1)bluish coloring of the feet (2)small, pin-pointed,
reddish-blue spots on the chest (3)gray-white cheesy substance covering the
skin (4)overlapping suture lines (overlapping suture lines is a normal finding due
to the molding of the head as the infant goes through the birth canal.
acrocyanosis is also a normal finding. vernix is a normal finding) pg.270ati
14. select all that apply: which assessment findings indicates that a newborn is
experiencing HYPOglycemia: jitterness, poor feeding, weak shrill cry, irregular
respirations, cyanosis, apnea, lethargy, diaphoresis,flaccid muscle tone,
seizures/coma, glucose <40 pg. 318ati
15. what should the nurse instruct a client who is 34 weeks to report immediately
(urinary frequency; ankle edema; persistent headache; increased
leukorrhea)pg. 354text
16. KNOW GTPAL pg.25ati
17. nonpharmacological pain management for the client who had an episiotomy in
the 4th stage of labor (look over ice packs and warm sitz baths) others include
squeeze bottle, topical anesthetic cream/spray, side lying pg.492, 495text
18. for a client receiving oxytocin (pitocin), the fetal monitor shows a series of late
decelerations. Which action should the nurse take first: (1) stop the oxytocin
infusion (2) notify provider (3) position pt on her left side (4) administer oxygen
via face mask pg.149ati
19. which client should be assessed 1st...(I chose the client who had the burning w/
frequent urination for 5 days...the other choices indicated normal pregnancy
findings. This one indicates that the pt has a UTI)
20. preeclampsia...which finding requires intervention (1) Hgb of 14.8 (2) platelet
count 60,000 (3) serum creatinine 0.8 (4) urine protein concentration 200mg/24
hour platelet count should be 150,000-450,000….Proteinuria is defined as a
concentration at or greater than 300mg/24hr pg. 661text, 100ati
21. One hour after delivery, a client who is receiving IV oxytocin (Pitocin) starts
passing moderate-sized clots. Vital signs reveal an increase in pulse rate and a
decrease in blood pressure. after massaging the fundus, the nurse should first
(1) give lactated ringer's IV bolus (2) administer methlergonovine (Methergine)
(3)assist the client to a side-lying position (4)insert an indwelling urinary
catheterThe findings indicate that the client is going into shock from losing too
much blood...management of shock includes administration of IV fluids to
replace what is lost] pg.237ati22. for a breastfeeding pt w/ breast pain and fever, what should the consultant
determine 1st to evaluate the client's condition (1) if the pt is using analgesics for
breast pain (2)review the pt's latch on technique (3)question the pt if she has
areas of redness on the breast (4) ask the pt if she is pumping her breasts look
over mastitis pg. 252ati, 629text [Show Less]